DR. PAIGE S CHARLESTON (M.D.) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1366555369

DR. PAIGE S CHARLESTON (M.D.) is a healthcare provider. based in Elkhorn, Nebraska. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 20697 (NE). The NPI Number for DR. PAIGE S CHARLESTON (M.D.) is 1366555369

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAIGE S CHARLESTON (M.D.)
NPI
1366555369
Phone
(402) 815-1700
Address
717 N 190TH PLZ
Enumeration Date
16 August 2006
Last Update Date
19 August 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
4028151700
Graduation Year
1995 (31 years ago)
PAC ID
8123085016
Group Practice PAC ID
4880506062
Professional Enrollment ID
I20041213000417
Address ID
NE680223917EL717XXPLZX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

270 OBSTETRICS/GYNECOLOGY in NE

Provider Addresses for DR. PAIGE S CHARLESTON (M.D.)

  • 717 N 190TH PLZ

    STE. 1100

    ELKHORN, NE 680223917

    Phone: (402) 815-1700

    Fax: (402) 815-1959

    Type: Location

  • Omaha Post Office, Collins Street, Omaha, Boone County, Arkansas, 72662, United States

    OMAHA, NE 681030755

    Phone: (402) 354-2100

    Fax: (400) 235-4215

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $2,121.

Total Amount is formed as General ($2,121) + Research ($0) + Ownership ($0) = $2,121.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Caldera Medical, Inc ($610).

Total Amount

$2,121

General + Research + Ownership

Payments

62

Total payment records

General Amount

$2,121

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041213000417IObstetrics/GynecologyNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0585Injection, onabotulinumtoxina, 1 unit5,10018$0
81003Automated urinalysis test384181$0
81001Manual urinalysis test with examination using microscope, automated298165$0
99214Established patient office or other outpatient visit, 30-39 minutes273197$0
99213Established patient office or other outpatient visit, 20-29 minutes269224$0
View full utilization report →

Insurance plans in this area (ZIP 68022)

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Provider's Procedures

DR. PAIGE S CHARLESTON (M.D.) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYNE76830Ultrasound pelvis through vagina1413

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880506062View full group profile
NameSpecialtyState
-IA
N E U R O L O G YNE
Family Practice, HospitalistIA
Nurse PractitionerNE
Internal MedicineNE
O B S T E T R I C S/ G Y N E C O L O G YNE
Infectious DiseaseNE
-NE
O B S T E T R I C S/ G Y N E C O L O G YNH
Cardiovascular Disease (Cardiology), Internal MedicineNE

Reviews

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Frequently asked questions

What federal number belongs to DR. PAIGE S CHARLESTON (M.D.)?
The federal identifier for DR. PAIGE S CHARLESTON (M.D.) is NPI 1366555369.
Does this profile mean DR. PAIGE S CHARLESTON (M.D.) is currently active?
Yes — DR. PAIGE S CHARLESTON (M.D.) appears active in the national provider directory.
Can you summarize DR. PAIGE S CHARLESTON (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. PAIGE S CHARLESTON (M.D.) with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician. Clinical services aligned with this taxonomy classification.
Does DR. PAIGE S CHARLESTON (M.D.) practice in Nebraska?
You will see Elkhorn, Nebraska on file for DR. PAIGE S CHARLESTON (M.D.) alongside any extra practice locations.
Is DR. PAIGE S CHARLESTON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1366555369. Always confirm identity and privileges with the practice and licensing boards.

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